13712 SW 130TH PLACE lb*7/aL SSW 136 4A
I
CL
LL
✓I
J '
'2
L I:Ve.oordslmicro(Im\targc-(Mbuildhg.doc
w
J
Ii4
Page No. I CASE HISTORY FOR CASE NO.: MST97-0356
BRUCE TILLEY
13712 SW 130TH PL
O'./te/98 >
Action Description Rfn/ Schd/ End/ Action Note. Diop By Update Upd
code Sent Done Done Date By
------- ------------------------------ - ---- ------- -------- -----------'--------------------------- —-- --- ----- ---
MSTA005 Application received / / / / 08/21/97 RECD JD ne/26/97 BON
MSTA008 Permit Cre:.ted / / / / 08/26/97 PASS B 08/26/97 BOY
�w.1010 check `or pec;. restrict. / / / / 08/26/97 PASS B 18/26/97 BON
MSTA012 Plans o tee to Plans Examiner / / / / 08/26;97 PASS d 08/26/97 BON
MSTA026 Flans approved by Pln Examiner / / / / 08/2G/97 FASS RT 08/:.6/97 BT2
MSTAOJo Reviewed plane routed to D,'•TS / / / / 08/7.6/97 PASS RT 08/26/97 BT2
MSTA032 DST Post-Review Completed / / / / 08/27/97 PASS B 08/27/97 B('d
MSTAOBO (F) Ready to issue / / / / 08/27/97 PASS B 08/27/97 BON
MSTA092 (F) Inoue combination permit / / / / 09/22/97 PASS GEO 09/22/97 CEO
MSTA095 Inoue plumbing signature foie / / / / 10/02/97 RECD SW 10/02/97 S•W
MSTA097 Issue electric signature form / / / / 10/02/97 RECD SW 10/02/97 S*W
MSTA700 Er,joion Control Inep 844-8444 / / / / / / 08/2./97 BON
MST7.70- Crading Inspection / / / / 01/09/98 20th PASJ YI 01/15/98 J•H
MSI:.103 Grading Inspection / / / / 03!18/98 "ASS PI 03/22/98 J•14
MSTA705 Footing incl: / / / / 09/25/97 Recd soils rep -rt from Carlson Tenting, PASS KS 09/25/97 J•H
Inc.
MSTA706 Foundation Insp / i / / 10/01/97 Defer to plans examiner for elevation FAIL RC 10/01/97 J•H
question.
MSTA706 Foundation Inap / / / 10/02/97 1. Foundation hold-downs and rebar PASS PDC 10/05/97 J•H
installed as indicated on plane. Footing
stepped down an extra 6-feet. contractor
talked with City about building height,
Foundation approved.
MSTA710 Post/Beam Structural / / / 03/18/98 No approved plana on site. FAIL KS 03/22/99 J+H
MSTA710 Poet/Beam Structural 01/23/99 / i 03/19/9E PASS GO 03/23/98 J+H
MST'.711 Post/Beam Mechanical / / / / 03/18/99 FAIL KS 03/22/98 J+H
1 MSTA711 Post/Bear Mechanical 03/23/98 / / 03/19/98 PASS GS 03/23/98 J•11
MSTA713 Crawl Drain / / / / 03/17/98 PASS TN 03/22/98 J*H
a- '1STA717 Pt14/Underfloor / / / / 03/17/98 PADS TN 07/22/98 J-H
MSTA720 tlechanical Inap / / / / 12/29/97 PASS KS 12/29/97 J-h
N MSTA722 Pl,lmb Top Out / / / / 12/12/97 Test water to 50 lbs min. NAIL GS 12/14/9', J+H
Test wan's through roof.
J
1 MSTA722 Plumb Top Out / ! / / 2/15/97 Same corrections an 121297 FAIL GS 12/15/97 J'H
(teat water 50# min. 6 tent wasste
C.
w through rr of.)
J
1'o correctionn made, $25.00 reinapection
fee assessed.
Page No. 2 CASE HISTORY FOR CASE NO.: MST97-0356
BRUCE TILLEY
33712 SW 130TH PL
06/18/98
Action Description Req/ Sand/ End/ Action Notes Dinp By Uf.date r.yd
Code Sent Done Done Dar.e By
MSTA722 Plumb Top Out / / / / 12/09/97 Test water to 50# min. FAIT. as 12/16/97 J•H
Tent waste through roof. - leak at co in
garage.
MSTA722 Plumb Top Out / / / 12/23/97 PASS MS 12/23/97 MRS
MSTA723 Electrical Service / / / / 12/22/97 PASS BRP 12/22/97 B•P
MSTA724 Electrical Rvigh In / / / / 12/22/97 PASS HRP 12/22/97 B•P
MSTA725 Framing Insp / / / / 12/23/97 #-1-,support under hips at garage DIS KS 12/24/97 KBS
#-2- add ntud under beam at den
0-3- strap Dlatas tn header at nook
#-4- support hips valleys, and ridge
#-5- strap header to plates above entry
4-6- strap each side plates notched for
oval duct adjacent to stairs
#-I- provide gussets each aide of post
supporting upper floor load
and lateral brace
#-8- king studs each side of post of
4/12 beam at lower level adjacent to
stairs
#-9- ineta.il save baffles
MS'7A725 Framing Ins,i / / / / 12/25,'97 1. Provide save baffles at vaulted PASS KS 12/29/97 J*H
ceilings.
MIITA726 Shear Nall Insp / / / / 12/08/97 not ready FAIL RS 12/08/97 J*LI
MSTA726 Shear Wall Insp / / / / 12/11/97 1. Holddowna and shear panel not FAIL KS 12/11/97 J•H
inntalled at common wall at garage.
2. Shear panels apply to both sides of
wing walls at garage.
3. Additional nailing needed at shear
panels.
C1. MSTA726 Shear Nall Insp ! / / / 12/15/97 Ransil where .rarer driven on main and FAIL, RC 12/15/97 J•H
rr
cc upper floor. Lower level approved to
H
V1 side.
F--
J MSTA726 shear Mall Insp / / / / 12/16/97 Sheat interior sides of garage wing FAIL KS 12/16/97 J`H
walls after electrical in installed.
.L
W MSTA726 Shear Nall Insp / / / / 12/23/97 APP KS 12/24/97 KBS
J
MSTA727 Low Voltage % / / / 12/22/97 PASS BRP 12/22/97 B•P
MSTA735 (Das Line Insp / / / / 12/23/97 #-1- gas pipl-lg pt teat - 25 psi for 15 APP KS 12/24/97 KBS
minutes
MSTA740 Insulation Insp / / / / 01/02/98 PASS KS 01/02/98 J•H
Page No. :ASE HISTORY FOR CASE NO.: MST97-0356
KMCE TILLFY
13'112 Sli 1301,. ^L
06/18/98
Action Description Req/ Schd/ EnO/ Action Notes Dirn By Update Upd
Code Sent Done Done Date By
MSTA745 Gyp Board Insp / / / / 01/07/98 1. Nail gypsum at vertical joint FAIL KS 01/07/98 J*H
adjacent to furnace.
2. Nail gypsum at pull down ladder at
garage, also adjacent to ladder.
(Horizontal)
3. Basement unfinished at this time.
4. Provide access at jacuzzi.
5. Nail joints at coffared ceiling.
6. Shear naili.ig not .pplicable.
MSTA745 Gyp Board Insp / / / , 01/08/98 PASS KS 01/09/98 J*H
MSTA755 Rain drain Insp / ! / / 10/15, 97 rain drains around houre PASS MS 10/15/97 MRS
MSTA755 Rain drain rnep / / / / 10/16/97 4-inch lateral tied into drains PAIS MS 10/17/97 J*H
arrnmd hou3e - OK.
MSTA761 Water Service Insp / / / / 01/29/08 PASS MS 01/'1/98 MRS
V,TA765 Appr./Sdwlk Insp / / / / 02/25/98 Needs to dorm out to 3-feet at wing on FAIL MW 02/25/98 J-P
north side of approach.
MSTA765 Appr/Sdwlk Insp 02/27/95 / / 02/26/98 PASS MW 07./27/98 JT
MSTA790 REINSPECTION— 12/15/97 / / 12./15/97 For plumbing top out reinspection of PAID $25 04/02/98 J-H
121597, $25.00 assessed by GS.
PAID $25 3/10/98
MSTA780 --REINSPECTION— / / / / 03/09/98 Down spout not connected, $25.00 fee WVD TN 03/'.2/98 J'H
assessed 030998 by Terry Nsle,3n.
(Now :t's up to $50.00)
Note: 'lap waived this fee, next final
inspect.on can be anneneed if
corrrectiona are not performed.
MSTA790 Electrical Final / / / / 03/04/98 Line voltage 120 gfci trip at Oma. PASS HRP 03/04/98 J*N
p nominal, note. t-stat not secure.
I—
T
J
C7
I�
J
Page No. 4 CARS HISTORY FOR CASE NO.: 14ST97-0356
BRUCE TILLEY
13712 SW 130TH PL
06/18/98
Action Description Req/ Schd/ End/ Action Notes Dinp By Update Upd
c xie Sent Done Done Date By
------- ------------------------------ -------- ------ ------------------------------- ---- -_- -------- ---
MSTA795 Mechanical Final / / / / U3/16/98 1. Need final erosion control approved. FAIL R:t 03/16/98 J•H
Need plumbing final.
2. Nail and tape gypsum adjac.nt to
vertical heat duct.
3. Support gas piping adjacent water
heater.
4. Insulate around door jamb to header
at crawl access.
S. Need to locate low point drain.
6. No post and beam or mechanical
inspection made
7. Smoke detector at lower level not
functional.
P. Nail joint hangern at low lovel.
9. Provide positive connection pont to
beam at exterior deck.
10. Provide handrail at exterior stairs.
11. Tottom riser exceeds limits (lower
level).
12. Provide insulation certificate.
13. Provide guard rail at front
entrance.
14. Finish grading not e..one - call for
grading inspection.
15. Record does not show post&beam
mechanical, water line, or underfloor
plumbing.
MSTA795 Mechanical Final 03/16/98 / / 03/2J/96 Approved as noted: Support gas piping PASS R8 03/33/99 J&H
adjacent to water heater.
MSTA797 Plumb Final / / / 03/09/98 connect downspout to rain drain riser. FAIL TN 03/10/99 J*H
Front NW corner of structure. 2nd
CL reinspection fee_ anneened.
CC
~ MSTA797 Plumb Final i / / / 03/11/98 Permanently cap unused rein drain riser FAIL TN 03/12/98 J•H
with approved fitting (AES Sr'iedule 40
�- DWV) or install down spout ani' connect
-J to unused riser.
L
t-O MSTA797 Plumb Final / / / i 03/16/98 PASS TN 03/16/99 J*H
LU
.J
Page No. c CASE HISTORY FOR CASE NO.: MST97-0356
BRUCE TILLEY
13712 SW 130TH PL
06/18/98
Action Description Req/ Schd/ and/ Action Notes Disp By Update Upd
Code Sent Dane Dene Date By
------- ------------------•------------ -------- -------- -------- --------------------------------------- ---- --- -------- ---
MS':A799 Building Final / / / / / / Notes Per Hap, c.leck for finished 03/10/98 J*H
basement level, if finished, send
contractor to Bob T for plan
review/fees. There should not be
plumbing or electrical at the basement
level.
NBTA799 Building Final 03/16/98 / / 03/20/98 Approved as noted on Mach Final. PASS KS 03/13/96 J+H
MSTA960 (F) Issue Cert. of Occupancy / / / / 03/20/98 MAILED 6/11/98 MAIL VN 06/11/98 VLN
MST9700 Erosion Control Insp 844-8444 / / / / / / 08/26/97 BON
G.
F—
N
F—
r�
J
CD
W
J
3 3 �, C- C
CITY OF TI&ARD BUILDING INSPECTION DIVISI N
24-Hour Inspection Line: 6394175 Business Phone: 6394171
Drte Reyuested: � �A M. �'.M. MST:
BUR_
Tenant: Suite:_ Bldg: _ MEC:
Contractor: ccG ' Phone: (0 J — 6 PLM:
Owner: Phone: ! _—'7 �• E;,C:_ --
uol�llId EI,R: _
BUILDING BLD 't) PLUNMOIIINGU LNICAD5 ELECTRICAL SITE
Site ent beam Post/Beam Post/l am Cover/Service Sewer/Storm
Footing R:x)f UndFl/Slab Roug i-n Ceiling Water Line
Slab Framing Top Out Gas line Rough-In UC Sprinkle;
Foundat;)n Insulation Sewer I iocxl/Duct Reconnect Vault
Bsmt Dairn Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Thain A/C I1G Slab
Shear/Sheath Fire Spklr/Alm Crawl/1'ound DT Ileat Pump Low Volt _
-i�pprovcd j
Approved Approved Approved �-
Appr/Sr',wlk - roved Not Approved l pproved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
-��� r✓ r ii.AA. � of
r � �
-- z
kip 'sA52, ,cf r-_ rtl G✓�'l�i1r�°I` �'�_�- — --
cl
ISM
ti
L
W
J
0 Call for rein.,pect' O Reinspection fee of S required before next inspection 0 Unable to inspect
Inspector: . Date:_ =! ®�(�, Page of
CITY 6F TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-41/5 Business Phone: 6394171
/0 - ,/( e" �/
Date Requested: � r A.M. �'�� P.M.
. MST: C"� 1_ 0-3 L_
Location: f.�. ->!(> l T 3 BUP:�
Tenant: Suite:-----Bldg: — MEC:
Contracto . LaLLPhone: `- % _ PLM:
Owner:
�� _Phone: ELC:
litJ� V i'�-7�Y^ ✓l_ ' �/ 2 4 Q ELR:
0 .l_1��� SIT: - --_
BUILDING BLDG(coni) 11LUMBlN MECHANICAL ELECTRICAL SITE
;lite Post/Beam 1'ost713i am Post/Beam Cover/Service Sewer/Storm
Footing Roof I JndFI/Slab Rough-In Ceiling Water Line
Slab Framing 'fop Out Gas line Rough-In UG Sprinkler
Fotmdation Insulation 1ioMVDuct Reconnect Vault
Bsmt Damp Drywall ( Storm ti--zace Temp Service MISC.
Masonry Ceiling IC—1c5m 5-in, AiC UG Slab
Shear',heath Fire Spklr/AlmC'nmtff'rsifnd IN Ilcat Pump Low Voll
Approved Approved Approved Approved
Appr/Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
--f
.L
W
O Call for reinspection 0 Reinspection fee of S r sired be re xt utspection Cl linable to inspect
Inspector. _��/ _�G�✓" I�te: _ Page l of_ z _
CITY OF TMASTER PERMIT
A iDEVELOPMENT SERVICES P,ERIh1IT #. . . . . . . : MST97-0356
k 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 09/2/97
PARCEL.: S104DD-07500
, SITE ADDRESS. . . : 13712 SW 130TH FHL.
13UBDIVISION. . . . :MOUNTAIN HIGHLANDS NO. 3 ZONING: R-4.
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :033 JURISDICTION: TICS
Remarks: SF - Path 1
------------------------------------------------------------ BUILDING ---------
REISSUE: STORIES.......: 2 FLOOR AREAS---------- BASEMENT...: 676 sf REQUIRED SETBACKS---- REQUIRED-------------
CLASS OF WORK.C[ HEIGHT........: 28 FIRST....: 1333 sf GARAGE.....: 663 sf LEFT..........: 8 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 843 sf FRONT.........: 20 PARKING SPACES: 2
TYPE OF LMT.:SN DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........: B
OCCUPANCY GRP.:R3 BDRM: 3 BATH: 3 TOTAL------: 2176 sf VALUE.$: 168633 REAR..........: 32
-----------------------------------------------------_-- PLUMBING ------------------------------------------------------------
SINKS.........: 1 WATER CLOSETS.: 3 WASHING MACH..: I LAUNDRY TRAYS.: I RAIN DRAIN ft: 100 TW.........: 0
LAVATORIES....: 4 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 100 SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUB/SHCIWERS...: 3 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0
OTHER FIXTURES: 0
--------------------—---------------------------_------ MECHANICAL --------------------------------------------------------------
FUEL TYPES---------- FURN 1 100K ..: 0 BUIL/CMP 13HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: 1
GAS FURN ;=100K ..: 1 UNIT HE TERS..: 0 HOODS.........: I OTHER UNITS...: 1
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: I
---------------------------------------------------------------- ELECTRICAL ------•----------
--RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS----- --ADD'L INSPECTIONS--
1000 SF OR LESS: 1 0 - 200 amp..: 0 N - 200 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.- 6 201 - 400 amp..: 0 201 - 409 amp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER H(AR......: 0
LIMITED ENERGY. : 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SI@MAL./PANEL...: 0 IN PLANT......: 0
MAZE HM/SVC/FDR: 0 Gel - 1000 amp.: 0 601+amps-1000 v: 0 MINOR LABEL •-16: 0
1000+ amp/volt.: 0 --------------------------- ------ PLAN REVIEW SECTION ------------------------------ --
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL.: r-S ARFA/SPC OCC:
---------------------------------------- ---------- ELECTRICAL - RESTRICTED ENERGY ----------------------------------------------------.
A. Sr RESIDENTIAL---------------------------- B. COMMERCIAL--------------------------------------------------------------------------
AUDIO b STEREO.: VACUUM SYSTEM..: AUDIO I STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: DTH- :: X BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE S16NL:
GARAGE OPEIER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR:
HVAC...........: DATR/TrLE COMM.: NURSE CALLS....: TOTAL N SYSTEMS: 0
Owner: --------_------------------------------Contractor: ----------------------------- TOTAL FEES:{ 4519.11
BRUCE TILLEY TILLEY HOMES INC This permit is subjert to the regulations contained in the
14210 SW 121ST AVE 14216 SW 121ST AVE Tigard Municipal Code, Stat of Ore. Specialty Codes and all
TIGARD OR 97223 TIGARD OR 97224-2819 other applicable laws. AH work will be done in accordance
with approved plans. This permit will expire if work is
Phone i♦: 620-4196 Phone 1H: 620-41% not started within 180 days of issuance, or if the work i
C" Reg C.: 800819 suspended for more than 160 days. ATTENTION: Oregon law
Frequires you to follow rules adoptsd by the Oregon Utility
V' Notification Center. These rules are set forth in OAR 952-001-0010 through OAR 95? 001-0080. You may obtain copies of thrse rules or
ti direct questions to OLMC by calling (503)246-1987.
----------------------------------------------------- REQUIRED INSPECTIONS ----------------------------------------------•-------------
L Erosion Control Post/Beam Meehan Electrical Servi Fireplace Insp Rain drain Insp Mechanical Final
fading Inspecti Crawl Drain Electrical Rough Gas Line Insp Water Line Insp Plumb Final
J Footing Insp PLM/Underfloor Framing Insp Gas Fireplace Water Service In Building Final
Foundation Insp Mechanical Insp Shear Wall Insp Insulation Insp Appr/Sdwlk Insp Erosion Control
Post/Beam Struct Zlumb // Low Voltage Gyp Board Insp Electrical Final
Iss�-:ed By : �--- Permittee SiUnatur; L _
++++++++44tr++++ +++++++ +++++++i•+++++++1-++++++++++++t.+++++++i-t++++++ t++++++
Call 639-4175 by 6:0 . p. m. for an inspection needed the ne>:t bl-tsiness day
CITY OF TIGARD
DEVELOPMENT SERVICES SEWER CONNECTION
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 RE RM 1 T
PERMIT #. . . . . . . . SWR97-0340
DATE ISSUED: 09/22/97
PARCEL: 2S104DD-07500
SITE ADDRESS. . . : 13712 SW 130TH F'L
SUBDIVISION. . . . :MOUNTAIN HIGHLANDS NO. 3 ZONING: R-4. 5
BLOCK. . . . . . . . . . L9T. . . . . . . . . . . . . :033 JURISDICTION: TIG
TENANT NAME. . . . . :BRUCE TILL.EY HOMES -
USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0
CLASS OF WORN. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE: 0 sf
Remarks : SF - Path 1
Owner: -- ---- ___._________.__ _ ___
---.----___-_---.._____ FEES
BRUCE TILLEY type amoo.Int by date recpt�
14210 SW 121ST AVE OUL_ $ 210. 00 GEO 09/22/97 7-299427
TIGARD OR 97224 QUN $ 290. 00 GEO 09/22/9- 97-299427
PRMT $ 2200. 00 GED 09/22/97 97-299427
Phone #: INSP $ 35. 00 GEO 09/22/97 97-x99427
EROS $ 64. 00 GEO 09/22/97 97-299427
Contractor,: ----- - --------- -----______--- ERF'U $ 20. 80 GEO 09/22/97 97-299427
OWNER ERPC $ 20. 80 GEO 09/22/97 97-299427
7
-----------------------------------------------------
Phone # - $ 2840. 60 TOTAL
Peg #. . .
------- REDUIRED INSPECTIONS
This Applicant agrees to comply with ail the rules and regulations Sewer- Inspection _
of the Unified Sewage Agency. The permit expires 180 days from
the date issued. The total amount paid will be fnrfeited if the
permit expires. The Agency does not guarantee the accuracy of the _
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in ,11 directions from
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer' Permit and the Ag?ncy will install a lateral.
ATTENTION: Oregon lan requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR
952-N1-6818 through OAR 952AWI--&W. You may obtain copies of
these rules or direct questiansto PX by L.Aing (563)246-1987. _
s
v~i TssLied by: `� �f Per�mi.ttee Siynatiir
J
.' t ++++++++i•++•+++++++++++++++++i-++++++A•+++++++++++++-+++++++++++++++++++++++++++++i
w Call 639-4175 by 6:00 p. m. far an inspection needed the next bi.isiness day
J +++++++++++++++++++++++++++++++++++++A•+++++++++++++4+++++++++++++++++++++++++4 ++
Plan Check N
ITY OF TIGARD Residential Bi-ilding Permit Application Recd Sy
3125 SW HALL-BLVD. New Construction Additions or Alterations Date Recd 7, 7177 177,-
1GARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P E.�L l
50J-639-4171 Date to DST �S - /
503-6847297 PermitNl`� �1 '0 05+0tT
Print or Type Called7 _ 0340
Incomplete or illegible applications wilt' not i:4 accepted
N of P
I Name
Job _
/y
Q5e_,xLD/T /lG Architect Site Address Mailing Address
f
Name city/state Zip one
` h
CRhICK T'4 1c 0
Name
Owner mailing Address
710 ,_5c/
C"y/state P M, Engineer Mailing Address
?2ZZY �a yl�� 7 z 3 S. w /o��
Name City/State Zip Phone
General L _ nescribe work New , Addition O Alteration O 'Repair 0 7
Contractor Mailing Address M be dons:
/G 6 cd a r Additional Desuiption of Work:
cite Zip e 0 7 7 : O 4'/W
Oregononst.Cont. Board LN Exp.Date
%tt]ch Copy or I� (_ `f �c '+r l i " , 6
Current COT Busatess Tax or Metro N Exp,Data PROJECT
licenses VALUATION $ dG
Name
MechanicalN. �,;,t><�i i� NEW CONSTRUCTION ONLY:
Sub- Mailing Address Sy. -t. House: Sq. Ft. Garage
C
Contractor 7 Corner Lot YES NO Flag Lot YES NO
c177re zip F`hgns (check one) 1_ f
- C� c (check one)
Oregon Const Cont Board Lich Exp, ate Restricted Audio/Stereo Burglar
.trach copy or �; –'�; Z Energy System Alarm _
Current COT 8 u� Tax or Metro a p We Installation Garage Door HVAC
Licenses �. _ c Opener Systems
Name
(check all that Other.
'lumbing _ L_Y-G� l-1!i/h ,i/ eDpIY)
Sub- Mailing Address Will the electrical subcontractor wire for all YES NO
.ontractor /�!_> 512K /Z62 restricted energy installations? _ `'
GI to Zip Phone Has the Subdivision Plat recorded? N/A YES NO
Oregon Const. Cant.Board Uc.N Ex . ate Reissue of MST#: Solar Compliance
-7 �reach Copy of c) L �'! _ (Calculation Attached) /I'" 1
Current Plumbing Llc.N Ex a p I hearb acknowledge that I have read this application, that the I
Licenses `0 / 7 C= information give- i,e ori act, that I am the owner or authorized
r COT u mess Tax or Metro N Ex Da e
Tax o agent of the owner. and that plans submitted are in compliance
Name
1 with Oregon Stale laws.
F Signal of Oven /A Date
Date
J Electrical _� �
Sub- Mailing Address Contact Person Name — Ph ne
"o;ltractor /q_112 ti lL�v/7 fy, i
J C. :State Zip Phone %
FOR OFFICE USE ON
Plat 0: MepRL#2 I
Grego Co s. Cont. Board L c s Exp ate nr� I' (q C] l4
ttoch Copy of
I
Setbacksi) � TZone. Solar.
dv
Current E!eneel Lie.aM =xd Da I -' )� � 11
Licenses 3 q - z Izu1 71 Engineering.Ap roval: Ptanni g Approval TIF
COT Busrno s Tax or Metro N Exp- t
i:1s pp.doc ldst) 1/97
Permit # Account Description Amount Amt. Pd. Bal, Due,
MJ 9l_n35l MST. Permit (BUILD) X005 , so 6oi So
PIL mb. Permit (PLUMB) ;25. `° ;7
Mech. Permit (MECH) ti'S
ELC/ELR Permit (ELPRMT) ,foo,
St . e Tax (TAX)
Bldg: .30, �-k �
Plumb:
Mech: z, ''
ELC/ELR: /,5,
Plan Check
MST: (BUPPLN) 393_s , V
Plumb: (F'LMPLN)
Mech: (MECPLN) /, 2 '� z �'
F
CDC Review (LANDUS) r �
_ • N r,, Sewer Connection (SWUSA) 2zo tuv
Reimbursement District ( )
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC) 10-50,
Residential TIF (TIF-R) 1660,
Mass Transit TIF (TIF-MT) X30,
Water Quality (WQ UAL) 210- L
Y
Water Qua- (Wr UANT) 19a.
Erosioi, (-untrol Permit (ERPRMT)
Erosion Planck/USA (ERPLAN) v,
Erosion Planck/COT (EROSN)
Fire Life Safety (FLS)
TOTALS: 71
i:%favv doc (dst) 1/97 /
.,
Solar Balance Point Standard Worksheet
Address
Box A (miculations: North-South dimension for the Iot- Box A.
This dimension is determined by Finding the midpoint of the North lot line and drawing
an intersecting line perpendicular to that point-
First, determine which ;property line is the North lot line. The North lot line is the line
with the smallest angle from a line drawn east-west and intersecting the northern most
point of the lot.
�t:JA�►
North-South
Dimension for lot:
measure the distance from the midpoint of the North lot line to the South lot line along
the described line.
♦ feet
1
N
[Lai
SUM or�ass.
Cm B calculations: Shade point height for your residence Box B:
1. Determine whether measurements will be based on the peak or cave of your Which describes
strucrum- The orientation of the ridge is also important+
1a: If the nooi line runs North-South, measurements will �. (circle one)
be based on the peak of the roof. v o 0 0 d
1A) 18 1C
1 b: If tf-e roei line runs East-West and Lhe roof pitch is /\
Icss :Tian 3i'12, measurements will -"e �_-ase�' en 'he
i eau e. 9`101 SCOW L-A
1 r If the rcof lire runs East—Vest and the roof pitch is
3/12 cr steeper, measurements will be based on the ,
peak. tJ----c
i
I
Box B. continued Box B:
2. ,Measure change in elevation from front property line to finished floor elevauan. If
the lot slopes up from the frust lot line to the foundation, the Figure is posse. If
the lot slopes down from the front for 'ine to the foundation, the figure is negative. ft
3. Measure distance from finished floor elevation to the affected peak/eave. + ft
4. 1 the roof line runs North-South, deduct three feet. If the roof line runs East-West, ft
deduct nothing.
S. Subtract one foot for each foot of difference in elevation from the front property
line to the rear property line, if the lot slopes up ium the front to the rear. If the
lot has no slope or slopes up from the rear to the front, deduct nothing. Q _ ft
6. Total figure for box B: �b ft
Box C Distance to the shade reduction line. Box C-
1-
-1. Measure the distance from the North property line to the foundation near the �` ` h
affected peak/eave.
2. Measure the distance from the foundation to the affected peak or eave. + � ft
3. Total figure for box C ft
it is most useful to drtw a vertical rine to repn5ent the appropriate 6pK band in box'A'and a horizontal Gne to represent the
appropriate rrsum mound in box-C'.The intersection of the vertical and hoixonoi rubes detennoines the value Found in bat't7'. The value
in box 'D'should be compamd to the value in bat'8'; if tt:e value in box'9'4 less than or equal to the value found in box 'D', then
the building is in comprrance with tl.e solar balance node. if you have any qt-zs ons. please rntla us at 6394171, x304 or at.he
Community 0eve4opment Counter.
MAXIMUM PUMMED SHADE POINT HEIGHT(In Fcet)
oimn -m Nonh-south lot d;menslon On feeC
shade 100+ 95 90 85 80 75 70 65 60 55 50 45 40
reduction line
Rory,norther,
lot tine an feed
70 40 40 40 41 47 43 44
65 18 38 38 39 40 41 42 43
60 !6 36 36 37 38 1-9 e.0 41 42
55 34 34 34 35 36 37 38 39 40 41
30 32 32 32 33 34 35 36 37 38 39 40
45 30 30 30 31 32 33 34 35 36 37 38 39
;0 23 23 23 29 30 31 32 33 34 35 36 37 38
LL 35 26 26 _6 27 28 29 30 31 32 33 34 35 36
=0 24 14 24 25 26 27 29 29 30 31 32 33 3e.
25 2_' 22 22 23 24 15 26 27 28 29 30 31 32
> =3 20 :0 20 21 22 23 24 25 26 27 28 29 30
15 18 18 18 19 :0 21 2-1 23 24 25 26 27 28
L 10 16 16 16 17 18 19 20 21 22 23 24 25 26
w 5 14 14 14 15 16 17 18 19 20 21 22 23 24
Box D. Maximum ailowed shade point height_ �� feet
h�`drar�nu+cvrvennxavota►.dtD
Revised Z'26r?6
CITY AF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd.,Tigard,OR 97223 (50F'6°3;171
C
C:EPJIFICATI= OF
OCCI_I�c;;JG�,
F,ERM I T 0. . MST9 7--0",;r,1:.
DATE ISSUED: 03/2:0/`-)8
PARCEL : PS104UD-07500
.)ITE ADDRESS . . c 1371c SW 130TH F'L
`iUBD I V I S I ON. . . . : MOUNTAIN HIGHLANDS NO. 3 1 ON I NC c R--4. 5
13LOC:K. . . . . . . . . . z LOT. . . . . . . . . . . . . :033 JUR1SDICTIOh1.'1IG
,LASS OF WORK. t NEW
TYPE OF USE. . :SF
TYPE OF CONS1'Rc3N
OC:CUFIANCY W,31'. : R3
)CCUMNCY LOOD:2
:Hmark5 : fT - Path 1
()wnert
0RUCE TILLS_
14210 SW ! 1ST AVE:
1 I PARD ON 97223
,lion-, #c 62:0--419(-%
antrac^tor.
I LLEY HOMES S i NC
14210 SW 121ST AVE
r IGARD 0.7 97224•--2819
r Ih on e #c 6,?0--4196
Q e a a 000 819
chis Cer•tificatc qr'ants occupancy of the etbove refc,renr.ed bullcting or portion
1.here,.-)f and ccrnfir ms thai the building he�v been in+.perl;ed for, compliance Witt+
t:he State of Oregon Speciality Codes for t;-)e gr,o!pp, ac:cr.rpanr-y, and L((! e kinder
-hick t!ie referenced permit was issued.
F �
r—
ILDIN INSPECTOR +L 1NSPECI'I 9UPERVItiOR
Ln
_, POST IN CONSPICUOUS PLACE
L
fi
_J
CITY OF TIG.ARD BUILDING INSPECTION DIVISION ' L70
24-Hour Inspectir tt Line: 639-4175 Business Phone: 639-4171
Date Requested: C� -( / A.M. Ci• � P.M. MST:
Location:_J-3 -31, S Wr 3 3 13IIP:_
' Tenant: Suite: _Bldg: .__ MEC:
Contractor. _`Phone: �pa2 �{ 9<�j PLM:
Owner: 'TPhone: ELC: _
ELR:
<Si7-E, SrE
UB 1LDING ? BLDG(con't) PLUMBING hIECHANICAL ELECTRICAL SITE
ST- Post/Beam Post/Beam P�st/Bearn Cover/Service Sewer/Storm
t1"tici
Ing
) Roof Undl�1/Slab Rough-In Ceiling Watei Line
�t1Rs" Framing Top 0111 Gas Line Rough-In TJG Sprinkler
Foundation Insulation Sewer 11ood/Uuct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Ruin Drain A/C UG Slab
Shear/Sheath Fire SpMr/Alm Crawl/Found Dr I It-.,It Pump Low Volt
--
�b7L-e' Approved Approved .Approved Approved Approved
Appr/Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
�"- -->.�� �T7 Y�.GU`, k:� tr rrT'• /�'L'v/!r-{fes ��- --
n.
r
c�
w
n Call for reinspect) 1`1 Reinspection tee of S` required before next inspection C7 I Inahle to inspect
inspector _ — _ Date: 7 — Page of,–
Carlson Testing, Inc. DATE �- --� JOB N
P.Q. Box 23814 Tigard,Oregon 97281 PROJECT --"- -'
Phone(503)684-3460 FAX it 684-0954
LOCATION
1
CONTRACTOR OWNER
TO
WEATHER TEMP at AM
at PM
PRESENT AT SITE �
THE FOLLOWING WAS NOTED:
....i- G'�s,. "rv�J�' ��✓rir, „�".w✓'��.. .�l'-k�!'��...t/��•T ms`s
��. .01
l r / /
qaz '��' ,li �•-
r- r'` f
l.L
Ln
J
U
w
J
COPIES TO ------ — UFMMD
SIGNED
Information contained herein is not to be reproduced,except in full, ,without prior Authorization ffom this office.